| NPI | 1003002379 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OR MD160505) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD00048484) |
| Enumeration Date | 2007-09-20 |
| Last Update Date | 2019-12-06 |